Dr Imran Sajid

Dr Imran Sajid Dr. Imran Sajid’s MRCP guide supports doctors preparing for all MRCP exams—Part 1, Part 2, and PACES.

Access focused resources, practical strategies, and exam insights designed to help candidates prepare with confidence and improve performance.

I’ll be sharing PASS MARK focused MRCP question materials with candidates preparing to sit the exam soon, including MRCP...
16/09/2026

I’ll be sharing PASS MARK focused MRCP question materials with candidates preparing to sit the exam soon, including MRCP Part 1, Part 2 Written, and Part 2 PACES.
If you’re a first time candidate or a repeat test taker, DM me now to get access to the materials.
Don’t wait until the last minute start preparing now

13/09/2026

How long does it usually take for gastric function, particularly delayed gastric emptying, to return to baseline after stopping a GLP-1–based medication such as semaglutide or tirzepatide?

Indications for Splenectomy
13/09/2026

Indications for Splenectomy

13/09/2026

Which of the following is considered a first-line abortive antiemetic for adult cyclic vomiting syndrome (CVS)

A. Metoclopramide
B. Domperidone
C. Prochlorperazine
D. Ondansetron
E. Promethazine

13/09/2026

𝐏𝐑𝐎𝐓𝐎𝐍 𝐏𝐔𝐌𝐏 𝐈𝐍𝐇𝐈𝐁𝐈𝐓𝐎𝐑𝐒 (𝐏𝐏𝐈𝐬) & 𝐑𝐀𝐑𝐄 𝐍𝐄𝐔𝐑𝐎𝐏𝐒𝐘𝐂𝐇𝐈𝐀𝐓𝐑𝐈𝐂 𝐄𝐅𝐅𝐄𝐂𝐓𝐒

Proton pump inhibitors (PPIs) are generally well tolerated; however, rare neuropsychiatric adverse effects have been reported across the PPI class, including:

𝐕𝐢𝐯𝐢𝐝 𝐨𝐫 𝐚𝐛𝐧𝐨𝐫𝐦𝐚𝐥 𝐝𝐫𝐞𝐚𝐦𝐬 𝐚𝐧𝐝 𝐬𝐥𝐞𝐞𝐩 𝐝𝐢𝐬𝐭𝐮𝐫𝐛𝐚𝐧𝐜𝐞
𝐈𝐧𝐬𝐨𝐦𝐧𝐢𝐚
𝐂𝐨𝐧𝐟𝐮𝐬𝐢𝐨𝐧 𝐨𝐫 𝐚𝐛𝐧𝐨𝐫𝐦𝐚𝐥 𝐭𝐡𝐢𝐧𝐤𝐢𝐧𝐠
𝐀𝐠𝐢𝐭𝐚𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐚𝐧𝐱𝐢𝐞𝐭𝐲
𝐇𝐚𝐥𝐥𝐮𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧𝐬
𝐓𝐫𝐞𝐦𝐨𝐫

Mania is not a well-established adverse effect of PPIs. However, rare neuropsychiatric reactions and pharmacovigilance signals have been reported across the PPI class.

If manic or other significant neuropsychiatric symptoms develop soon after starting a PPI and improve after discontinuation, a drug-related adverse reaction should be considered while other potential causes are excluded.

MASH-specific therapies
13/09/2026

MASH-specific therapies

MIRIZZI SYNDROMEDefinitionMirizzi syndrome is a complication of gallstone disease in which a stone becomes impacted in t...
10/09/2026

MIRIZZI SYNDROME

Definition

Mirizzi syndrome is a complication of gallstone disease in which a stone becomes impacted in the cystic duct or Hartmann’s pouch, causing external compression of the common hepatic duct (CHD) and resulting in biliary obstruction. With longstanding inflammation, the stone may erode into the adjacent bile duct and produce a cholecystobiliary fistula.

Csendes Classification
Type I: External compression of the bile duct without fistula.
Type II: Cholecystobiliary fistula involving

Mechanism of Action : Digoxin
10/09/2026

Mechanism of Action : Digoxin

Amiodarone Amiodarone is predominantly a Class III antiarrhythmic and blocks cardiac K⁺ channels, prolonging phase 3 rep...
10/09/2026

Amiodarone

Amiodarone is predominantly a Class III antiarrhythmic and blocks cardiac K⁺ channels, prolonging phase 3 repolarization, action-potential duration, and the effective refractory period. It also has Class I Na⁺-channel blockade, Class II noncompetitive β-adrenergic blockade, and Class IV Ca²⁺-channel blockade.

A 32-year-old patient presents with severe throbbing pain and swelling around the nail of his finger for 3 days. Examina...
10/09/2026

A 32-year-old patient presents with severe throbbing pain and swelling around the nail of his finger for 3 days. Examination shows localized erythema, warmth, tenderness, and a small collection of pus involving the proximal and lateral nail fold. There is no history of trauma and no grouped vesicular lesions.

What is the most likely diagnosis?

A. Herpetic whitlow
B. Felon
C. Cellulitis
D. Acute paronychia
E. Chronic paronychia

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